Organization provider

LIFEMD SOUTHERN PATIENT MEDICAL CARE PC

Clinic/Center Nurse Practitioner Allergy & Immunology Physician Medicare enrolled

LIFEMD SOUTHERN PATIENT MEDICAL CARE PC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1417635921, based in Orlando, FL. The organization lists 5 taxonomy classifications, with Clinic/Center recorded as primary.

Getting there

The practice address on file is 111 N ORANGE AVE STE 800, Orlando, FL 32801. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

111 N ORANGE AVE STE 800, Orlando, FL 32801 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
7618311820

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Clinic/Center covers

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). NUCC Health Care Provider Taxonomy, code 261Q00000X
Ambulatory Health Care Facilities Clinic/Center

All registered taxonomy codes

This provider registers 5 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
261Q00000X Clinic/Center primary
363L00000X Nurse Practitioner
207K00000X Allergy & Immunology Physician
207Q00000X Family Medicine Physician
207R00000X Internal Medicine Physician

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1417635921 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateJul 6, 2023
Last updatedMay 28, 2024
StatusActive
Practice address 111 N ORANGE AVE STE 800
Orlando, FL 32801
(646) 263-3680
Mailing address 236 5TH AVE STE 400
New York, NY 10001
This record was updated on May 28, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1417635921 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 4 1 7 6 3 5 9 2
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 4 2 7 3 3 1 9 4

Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1417635921?
NPI 1417635921 is the National Provider Identifier assigned to LIFEMD SOUTHERN PATIENT MEDICAL CARE PC in Orlando, FL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Clinic/Center cover?
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
How do I contact LIFEMD SOUTHERN PATIENT MEDICAL CARE PC?
The phone number on file with NPPES is (646) 263-3680, last updated May 28, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does LIFEMD SOUTHERN PATIENT MEDICAL CARE PC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1417635921 a valid number?
Yes. 1417635921 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.